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General NPI Number Information
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NPI Number | 1669584678
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Entity Type | Organization
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Legal Business Name | MAINLAND PHARMACY INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 811 6TH ST N STE 100
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City | TEXAS CITY
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State | TX
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Zip | 77590-7885
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Country | US
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Telephone | 409-945-2368
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Fax | 409-945-6281
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Provider Business Mailing Address
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Address Line | 811 6TH ST N #100
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City | TEXAS CITY
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State | TX
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Zip | 77590-7884
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Country | US
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Telephone | 409-945-2368
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Fax | 409-945-6281
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Authorized Official
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Title or Position | MANAGER
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Name | CYNTHIA SANDERS
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Credential |
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Telephone | 409-945-2368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 00129
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License Number State | TX
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